LUYIMIN NATIVIDAD PERALTA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002763

License Status

NOT RENEWED

Business

First Name

LUYIMIN

Middle

NATIVIDAD

Last Name

PERALTA

Business Name

LUYIMIN NATIVIDAD PERALTA

Original Issue Date

03/13/2001

Effective Date

06/13/2002

Expiration Date

11/01/2001

City

SHANNON

State

Zip

61078

County

CARROLL

Ever Disciplined

LastModifiedDate

05/31/2005